Posted by policebox on May 10, 2012, at 20:16:03
In reply to Re: Melancholic vs Atypical depression, posted by SLS on May 10, 2012, at 5:27:08
It's common sense. A person can't both be fat and thin simultaneously the majority of the time.
Similarly, you can't, the majority of the time, have have an inability to feel pleasure over positive things and have the ability to feel pleasure over positive things.
A client and provider need to base a diagnosis on the symptoms which are present more frequently, or alternatively, the symptoms which are causing the more severe disability, then treat accordingly.
> > I can't see how you could be have both melancholic and atypical depression, as the diagnoses are mutually exclusive.
> Where did you read or hear this?
> I have never heard that the two depressive subtypes were mutually exclusive. In fact, Frederick Quitkin diagnosed me as having atypical reactive type depression with endogenomorphic characteristics. It was Quitkin and his research team at Columbia that first defined the two subtypes. If they felt that these subtypes were mutually exclusive, they would not have diagnosed me as having a hybrid presention. Of course, bipolar depression had not been carefully described and scrutinized at this time. Since bipolar depression can look like a hybrid between atypical and melancholic depression, I could see how they missed my diagnosis.
> - Scott